Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $126.96 / $180.77	Facility		$81.90	$126.96	$180.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $82.72 / $100.26	Professional		$81.90	$82.72	$100.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.22 / $187.85 / $374.81	Facility		$74.22	$187.85	$374.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $87.27 / $87.27	Professional		$87.27	$87.27	$87.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $84.30	Facility		$80.00	$80.00	$84.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $81.90 / $81.90	Facility		$77.26	$81.90	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $394.30 / $409.50	Facility		$104.90	$394.30	$409.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $350.34 / $350.34 / $350.34	Professional		$350.34	$350.34	$350.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $82.86 / $168.71	Facility		$81.90	$82.86	$168.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $83.54 / $135.13	Professional		$81.90	$83.54	$135.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $92.72 / $155.30	Professional		$80.51	$92.72	$155.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $81.90 / $146.19	Facility		$81.90	$81.90	$146.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $99.19	Professional		$81.90	$81.90	$99.19
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $86.81 / $91.17	Professional		$81.90	$86.81	$91.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $81.90 / $114.66	Professional		$79.34	$81.90	$114.66